Lack of Physical Exercise May Lead to Hypertension

 Hypertension among Older Adults

Sukpattanasrikul, S., Monkong, S., Leelacharas, S., Krairit, O., & Viwatwongkasem, C. (2021). Comparison of hypertensive outcomes after the implementation of self-management program for older adults with uncontrolled hypertension in Krabi, Thailand: a quasi-experimental study. Journal of Health Research, 36(4), 641-651. https://doi.org/10.1108/JHR-12-2020-0626

The article addresses the outcomes of a self-management program for hypertension. The research is useful for the project since it highlights the key measures that nurses need to implement to restore hypertensive problems among older adults. The researchers found that self-management programs have positive impacts on quality of life, blood pressure, and behavior. The research will be incorporated into the intervention section of the project report to justify the program's efficiency in eradicating the increased mortality rate among older adults. Besides, the researchers conducted a quasi-experimental design which provides primary data and evidence necessary for evidence-based practice. Therefore, it highlights self-management programs as a suitable alternative to primary care services.

Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A.

(2020). Hypertension in older adults: Assessment, management, and challenges. Clinical cardiology, 43(2), 99-107. https://doi.org/10.1002/clc.23303

The article highlights the challenges, management, and assessments for hypertension among older adults. It is useful for the project since it identified the outcome of hypertension, including death, myocardial infarction, stroke, and failure. The article will be useful in writing the section on hypertensive outcomes among older adults, such as declining renal function, automatic dysregulation, and arterial stiffness. The researchers also identified specific management strategies which are necessary for intervention, including psychosocial factors, medical comorbidities, and frailty. The management of the identified elements leads to reducing hypertension risks. Therefore, the article is useful for the evidence-based management of hypertension.

Woodham, N., Taneepanichskul, S., Somrongthong, R., & Auamkul, N. (2018). Medication adherence and associated factors among elderly hypertension patients with uncontrolled blood pressure in rural area, Northeast Thailand. Journal of Health Research, 32 (6), 449-458. https://doi.org/10.1108/JHR-11-2018-085

The article highlights the associated factors and medication adherence of hypertensive older adults. The researchers used a cross-sectional study in four health facilities to compare associated hypertensive factors. Among the 408 patients, the researchers noted that most suffered from stress as the major associative factor. Therefore, the study is useful for the project since more research will focus on stress and its impact on hypertensive adults. It will be included in the hypertension risk factors section of the report. The source will also be used in the introduction to justify the high rate of hypertension among older persons. Therefore, the source is relevant for the project due to primary and valid findings.

Gholamnejad, H., Kakhki, A. D., Ahmadi, F., & Rohani, C. (2018). Barriers to self-care in elderly people with hypertension: a qualitative study. Working with Older People, 22(4), 243. https://doi.org/10.1108/WWOP-08-2018-0016

The article is unique since it identifies the barriers to effective hypertension management. The researchers interviewed 23 participants to justify barriers to hypertension. The authors found that desperation and lack of social networks are the key barriers. The source is useful for the project to initiate a proper evidence-based intervention that addresses the highlighted barriers. Besides, it will also be used in the intervention section of the report to analyze the effectiveness of using specific strategies. For instance, the researchers noted that insufficient resources and lack of knowledge are among the barriers to managing hypertension. Therefore, the intervention would focus on enhancing knowledge and mobilizing adequate resources for hypertensive older adults.

Miranda, A. M., Steluti, J., Fisberg, R. M., & Marchioni, D. M. (2016). Association between polyphenol intake and hypertension in adults and older adults: A population-based study in Brazil. Journal of Medical Health, 11(10), 101-110. https://doi.org/10.1371/journal.pone.0165791

The article links food intake and hypertension among older adults. The researchers used a sample of 550 adults to examine polyphenol intake and the increased hypertensive rate among older adults. The researchers found that there is a critical association between specific food substances such as stilbenes, lignans, and tyrosols. The research is essential for the project since it highlights the key factors that enhance hypertension among older adults. It will be inserted in different sections of the report, for instance, the causes of hypertension among adults and its

management. The article is relevant since it focuses on the targeted population for the project.

Mendoza, J. A., Lasco, G., Renedo, A., Palileo-Villanueva, L., Seguin, M., Palafox, B., ... & Balabanova, D. (2022). (De) constructing ‘therapeutic itineraries’ of hypertension care: A qualitative study in the Philippines. Social Science & Medicine. https://doi.org/10.1016/j.socscimed.2021.114570

The article addresses hypertension's therapeutic itineraries. The researchers used a survey approach to collect primary data from patients' households. The researchers focused on the older adults who had received a hypertension clinical diagnosis. The researchers found that poor and timely management of hypertension leads to increased mortality at 13.5%. The article is useful for the project since it highlights the role of clinical settings and health systems in eliminating hypertension among older adults. Besides, it will be used to write the barrier section of the report and suitable recommendations. Therefore, the article is relevant for future management trajectories in managing hypertension.

Akinlua, J. T., Meakin, R., Bashir, I., & Freemantle, N. (2018). Beliefs about hypertension among primary health care workers and clients in Nigeria: A qualitative study. Journal of Health Research, 13(12), 34-45. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209334

The article notes the primary beliefs of the healthcare workers on hypertension management. The researchers used 81 older adults to understand the key beliefs which increase the rate of hypertension and its management. The researchers found that stress is a major problem

among older adults and increases the risk for hypertension. Therefore, the article is significant for the project since it would allow for analysis of the impacts and the roots of hypertension among the patients. It will be used to write the discussion section of the report and provide appropriate recommendations for hypertension among adults.Ashoorkhani, M., Majdzadeh, R., Gholami, J., Eftekhar, H., & Bozorgi, A. (2018). Understanding non-adherence to treatment in hypertension: a qualitative study. International Journal of Community Based Nursing and Midwifery, 6(4), 314-326. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226612

The researchers focused on the effects of non-adherence to hypertension treatment among adults. They used a sample population of 35 patients who underwent a face-to-face interview and provided primary data. The researchers found that the major issues leading to non-adherence to treatment are inadequate access to health facilities, attitudes and beliefs, and lack of knowledge. The article is relevant since it focuses on stress management and patient education as the key solution to non-adherence treatment. The information retrieved from the article will be used to write the intervention section of the research report. Besides, the information will be used to draw significant conclusions and recommendations the evidence-based practice.